Provider Demographics
NPI:1861231235
Name:BORA CARE HOME PLUS LLC
Entity type:Organization
Organization Name:BORA CARE HOME PLUS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALWORA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-295-3577
Mailing Address - Street 1:1172 N PINECREST ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-2732
Mailing Address - Country:US
Mailing Address - Phone:316-295-3577
Mailing Address - Fax:
Practice Address - Street 1:1172 N PINECREST ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-2732
Practice Address - Country:US
Practice Address - Phone:316-295-3577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-23
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home